KBenefits Insurance Services
Medicare & Employees

Medicare & Employees

Six months before turning 65, employees should start thinking about their options and learn about the differences between plans.  If you work for a Small Employer (under 20 employees), then you must sign up for Medicare A & B.
If you work for an Employer with 20 or more, then you can decide if you wish to stay on your Employers health plan or you can consider moving to a Medicare Supplement with Part D prescription (or) a Medicare Advantage health plan.


 

Company Size:

  • If you have groups with less than 20 employees: Any Medicare-eligible employee (or spouse/dependent) MUST enroll in Medicare, because by law Medicare becomes their primary coverage.  If the individual does not enroll into Medicare when first eligible, claims may not be paid, and they may face financial penalties due to late enrollment.
     
  • If you have 20 or more employees:  If an employee is currently working and coverage is through a credible employer plan, the employee (or spouse) may be able to delay Part A and Part B.
     
  • If you have groups with less than 100 employees: If an employee (or spouse/dependent) qualifies for Medicare due to a disability, Medicare would be considered their primary coverage.
     
  • All Employers:  Part D Prescription - Creditable Coverage - If the prescription drug plan is not considered creditable coverage, Medicare-eligible employees may face a financial penalty after retirement.

Sample Letter: 
Prescription Creditable Coverage letter to be shared with employees.

Letter: Rx Creditable Coverage
ModelCreditableCoverageD.pdf
Adobe Acrobat document [105.7 KB]
Creditible Coverage Letter - (customizable)
Letter - Creditible Rx Coverage.doc
Microsoft Word document [34.5 KB]

Christopher S. Kudryk
Insurance Specialist
chris@kbenefits.com
732-333-1976

KBenefits Insurance Services provides insurance solutions for small business owners and individuals in New Jersey, New York, Penn and Florida..

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